Organization
NOSTALGIC EYECARE INC
Active
Organization
NOSTALGIC EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNARD L HERRING OD (OWNER)
(718) 825-2067
Entity
Organization
Contact information
Practice address
1319 BRUCE RD, APARTMENT B, ORELAND, PA 19075-1819
(718) 825-2067
Mailing address
6656 GERMANTOWN AVE, SUITE 1, PHILADELPHIA, PA 19119-2163
(718) 825-2067
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OEG002906
PA
Other
Enumeration date
07/20/2016
Last updated
01/11/2017
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